AVP, Health Plan Operations

JOB DESCRIPTION Job Summary Provides strategy and leadership to team responsible for the development and administration of state health plan operational functions, programs and services - ensuring functional operations, contractual compliance, and alignment with health plan member satisfaction, retention, quality, and financial goals. Essential Job Duties • Supports strategy development, vision and direction for designated state health plan operations function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. • Under the direction of senior leadership, directs and manages state health plan operations. • Demonstrates accountability for ensuring health plan operating metrics consistently meet and/or exceed all compliance requirements, key performance targets and associated service level agreements (SLAs). • Plans, organizes, staffs, and coordinates the operations of state Medicaid/Children's Health Insurance Program ...